Tongue cancer is one of the most common head and neck malignancy. The major risk factors associated are smoking, drinking alcohol, and, human papilloma virus HPV infection.
In cases of mouth cancer, among conventional treatment arms, surgery is the recommended therapy. This may be combined with radiation and chemotherapy.
In designing an effective treatment regimen, main highlights are improving care for patients with this condition and this is predicting prognosis before implementation of treatment plan.
Data reported in literature refers that there is an alarming increasing incidence of both oral and base of the tongue squamous cell carcinoma/tongue cancer. The prevalence of tongue cancer is presented with female gender predilection without the traditional risk factors of alcohol or tobacco use and in association to HPV infection.
Yes, it is a disaster to be diagnosed with a cancer and is a frightening experience. But as it is often mentioned that the cancer if can’t be cured can be treated with good prognosis is referred as good outcome with increased disease-free survival DFS rate.
And the survival rate for the patient’s diagnosed with cancer is calculated from the time of diagnosis, while the oncologists use statistics to help determine treatment options and to predict the prognosis. Survival rate is also dependent on other factors, such as type of cancer, a person’s age and time period. The percentage of people who are alive at a certain time after a diagnosis, is mostly referred in range of five-year periods. DFS to relate survival rates to cancer patients is the amount of time period. Lived by patient without recurrence of disease after the treatment is completed, and it does not include deaths from other factors.
The management of tongue cancer in its advanced diagnosed stages is primarily surgical, in combination with radiation. And only radiation is opted for the cases with advanced disease, being poor surgical candidates, unresectable. The average cost for mouth cancer treatment in India is 2,35,000- for more details you can contact the experts in our team of cancer rounds.
This indicates that unless there is a clear contraindication for surgery or the tumor is unresectable, surgery can be offered as primary treatment. And to be specific in lieu of the early-stage tongue cancer (T1 or T2) single-modality therapy, namely surgery or radiation have been successful and survival rate is about 60%. But for the cases with advanced disease (T3 or T4) -that have a poor response to single-modality treatment shows poor prognosis with decreased survival rate. For tongue cancer or mouth cancer with best treatment provided timely after early diagnosis of disease the survival rate of about 80% is observed. This means that around 80 out of 100 (around 80%) patient’s will survive their cancer for a year or more after diagnosis. And 60 out of 100 cases (60%) survive their cancer for 5 years or more after diagnosis. But around 50 out of 100 cases (around 50%) survive their cancer for 10 years or more after diagnosis. The five-year relative survival rate for tongue cancer also depends on the stage of the cancer. If the cancer has spread far, the five-year relative survival rate is is 63 percent.
As these survival rates show, earlier diagnosis leads to better outcomes- the role of self-screening is really important. Early diagnosis of tongue cancer allows for effective treatment options, with fewer side effects, and a good five-year survival rate with increased DFS as well.
It is also important not to forget that tongue cancer can be life-threatening if not diagnosed and treated early. Over time, it may spread to other sites in the mouth (mouth cancer), other areas of the head and neck, or other parts of the body(metastases).
Within parts of tongue divided anatomically- the back third of the tongue, which starts in the throat, – known as the base of the tongue is associated with decreased survival rate, poor prognosis and more chances of recurrence.